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NOVANT HEALTH PARKSIDE FAMILY MEDICINE
NPI 1891014197
Family Medicine in Jamestown, NC

Active since May 26, 2010CLIA 34D2009622 · Waiver
1236 GUILFORD COLLEGE RD, SUITE 117, JAMESTOWN, NC 27282(336) 856-0801(336) 856-2804 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Parkside Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH PARKSIDE FAMILY MEDICINE (NPI 1891014197) is a healthcare organization registered as a family medicine in Jamestown, North Carolina and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1891014197
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address1236 GUILFORD COLLEGE RD, SUITE 117Jamestown, NC 27282-9875
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 856-0801 · Fax (336) 856-2804
Phone(336) 856-0801
Fax(336) 856-2804
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateMay 26, 2010
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1891014197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1236 GUILFORD COLLEGE RD, Jamestown, NC 27282
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Other Names 1

Doing Business AsNovant Health Parkside Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2009622

Novant Health Parkside Family Medicine · Jamestown, NC
Active · expires Aug 31, 2026
CLIA Number34D2009622
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKim K. Briscoe
Laboratory Phone(336) 856-0801
Laboratory LocationNovant Health Parkside Family Medicine1236 Guilford College Road Suite 117, Jamestown, NC 27282
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA E. HARTMAN MD
Family Medicine
1236 GUILFORD COLLEGE RD, SUITE 117
JAMESTOWN, NC 27282
Guilford County (336) 856-0801
ASHLEY L MICHAELS PA
Physician Assistant
1236 GUILFORD COLLEGE RD, SUITE 117
JAMESTOWN, NC 27282
Guilford County (336) 856-0801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1891014197. It was assigned to this organization in the NPPES registry on May 26, 2010. The provider is doing business as Novant Health Parkside Family Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 1236 Guilford College Rd Suite 117, Jamestown, NC 27282. The listed phone number is (336) 856-0801.

What is Novant Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Novant Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2009622) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Novant Health Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Novant Health Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.